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Bexar County Hospital District Board of Managers Meeting By Telephone University Hospital 4502 Medical Drive San Antonio, Texas 78229 Tuesday, 2/23/2021 6:00 - 8:00 PM CT 1. Call to Order and Record of Attendance Presented By: Jim Adams, Chair (:01) 2. Invocation - Norberto Casas, Jr., Our Lady of Guadalupe Parish Presented By: Jim Adams, Chair (:03) 3. Pledge of Allegiance Presented By: Jim Adams, Chair (:01) 4. Public Comment (:01) 5. Approval of Minutes of Previous Meeting(s): (:03) January 19, 2021 (Regular Meeting) January 26, 2021 (Regular Meeting) 1.19.21 Minutes - Page 3 1.26.21 Minutes - Page 13 6. Report from UT Health San Antonio Presented By: William Henrich, MD, President (:10) 7. New Business: Presented By: Jim Adams, Chair (:15) Consent Agenda A. Consideration and Appropriate Action Regarding Medical-Dental Staff membership and Privileges Presented By: Rajeev Suri, MD, President, Medical/Dental Staff 2.23.21 MD Staff Membership - Page 28 B. Consideration and Appropriate Action Regarding Medical-Dental Staff Recommendations for Professional Practice Evaluations and Delineation of Privileges Presented By: Rajeev Suri, MD, President, Medical/Dental Staff 2.23.21 MD Staff Delineation - Page 76 C. Consideration and Appropriate Action Regarding a Contract with Johnson Controls, Inc. for Replacement of Central Energy Plant Controls at University Hospital. Presented By: Don Ryden 2.23.21 Johnson Controls - Page 92 D. Consideration and Appropriate Action Regarding Participation in the Fifth Year of the Quality Incentive Payment Program (QIPP) for Skilled Nursing Facilities with Licenses Owned by University Health and Managed by Touchstone Communities Presented By: Ted Day/Bryan Alsip, MD 2.23.21 QIPP Year 5 Authorization - Page 95 E. Consideration and Appropriate Action Regarding a Contract with Carvajal Incorporated d/b/a/ Carvajal Pharmacy to Provide Pharmacy Services at the Detention Healthcare Setting Presented By: Stephanie Stiefer 2.23.21 Carvajal Pharmacy Services - Page 100 F. Consideration and Appropriate Action Regarding Purchasing Activies (See Attachment A) Presented By: Antonio Carrillo/Travis Smith 2.23.21 Purchasing Consent Memo - Page 103 2.23.21 Purchasing Activities - Page 105 8. Action Items: (:30) A. Consideration and Appropriate Action Regarding Selected Purchasing Items: (1) Consideration and Appropriate Action Regarding a Contract Amendment with Henock Construction, LLC for Interior Renovations at the Southeast Clinic Presented By: Don Ryden 2.23.21 SE Clinic - Henock Amendment - Page 120 B. Consideration and Appropriate Action Regarding the Financial Report for January 2021 Presented By: Reed Hurley 2.23.21 Financial Highlights - Page 123 2.23.21 Financial Presentation - Page 126 9. Information Only Items: A. Report on the 87th Texas Legislature Presented By: Andrew Smith 2.23.21 Legislative Update - Larsson Op-ed Medicaid Attacment B - Page 132 2.23.21 Legislative Update - Budget Resolution and Reconciliation Attachment A - Page 134 2.23.21 Legislative Update - Page 137 B. University Health Foundation Update Presented By: Sara Alger 2.23.21 Foundation Update - Page 142 C. Supplier Diversity 4th Quarter/End of Year Presented By: Antonio Carrillo/Travis Smith 2.23.21 Supplier Diversity Report - Page 144 D. Report on Recent Recognitions and Upcoming Events Presented By: Leni Kirkman 2.23.21 Recognitions - Page 152 E. Update on the Women's and Children's Hospital and Associated Projects Presented By: Don Ryden 2.23.21 Womens and Childrens Update - Page 154 10. Adjournment Presented By: Jim Adams, Chair The Board of Managers may recess during the open meeting in order to hold a closed meeting. Alternatively, a closed meeting may be held before the open meeting or after its adjournment. Closed Meeting: A closed meeting will be held pursuant to TEX. GOV’T CODE, Section 551.085 to receive information regarding pricing, market data and/or financial and planning information relating to the arrangement or provision of proposed new services and/or product lines. Closed Meeting: A closed meeting will be held pursuant to TEX. GOV’T CODE, Section 551.085 to receive information regarding pricing or financial planning information relating to a bid or negotiation for the arrangement or provision of services or product lines to another person if disclosure of the information would give advantage to competitors of the hospital district. University ¥ Health BEXAR COUNTY HOSPITAL DISTRICT BOARD OF MANAGERS By Telephone Tuesday, January 19, 2021 6:00 p.m. 4502 Medical Drive San Antonio, Texas 78229 MINUTES BOARD MEMBERS PRESENT: James R. Adams, Chair Ira Smith, Vice Chair Margaret Kelley, M.D. Roberto L. Jimenez, M.D., Immediate Past Chair Anita L. Fernandez L.P. Buddy Morris Jimmy Hasslocher OTHERS PRESENT: George B. Hernández, Jr., President/Chief Executive Officer, University Health System Bryan J. Alsip, MD, Executive Vice President/Chief Medical Officer, University Health System Edward Banos, Executive Vice President/Chief Operating Officer, University Health System Rob Hromas, MD, Dean, Long School of Medicine, UT Health San Antonio Reed Hurley, Executive Vice President/Chief Financial Officer, University Health System Serina Rivela, Vice President/General Counsel, Legal Services, University Health System Don Ryden, Vice President/Project, Design & Construction, University Health System Laura Garcia, San Antonio Express-News And other attendees. CALL TO ORDER: Mr. Adams called the meeting to order at 6:02 pm, and made the following remarks: In light of the recent spike in COVID-19 cases and as a precautionary measure to mitigate the spread of COVID-19 and allow the Board, the staff and the public to participate in this meeting in a safe manner, this meeting will be conducted both in person and by telephone as authorized by the Governor’s Emergency COVID-19 Executive Order. He then yielded the floor to the Recording Secretary for roll call and to confirm a quorum. All Board members indicated “present.” Voting today will be conducted by individual roll call to clearly identify each Board member by name and vote. Board of Managers Meeting Tuesday, January 19, 2021 Page 2 of 10 INVOCATION AND PLEDGE OF ALLEGIANCE In Pastor Tom Robison’s absence, Mr. Ira Smith provided the invocation, and Mr. Adams led the pledge of allegiance. PUBLIC COMMENT: None. At this time, Mr. Adams asked Dr. Rob Hromas to provide an update on behalf of UT Health San Antonio. Vaccination efforts are proceeding in partnership with University Health and the Wonderland site. Dr. Bob Leverence is leading that on behalf of UT Health. Elective surgeries have temporarily been halted, which he described as painful because it causes patient and financial distress but is necessary due to the recent COVID-19 surge in the city. UT Health has started the recruiting process of several basic science chairs: Pharmacology, Microbiology, and Urology was recently filled. A clinical trial involving COVID-19 patients hospitalized at University Hospital found that a combination of the drugs baricitinib and remdesivir reduced time to recovery, according to results published in the New England Journal of Medicine. There are six co-authors of the publication because of University Health’s sizable patient enrollment in the trial. The principal investigator is Thomas Patterson, MD, professor and chief of infectious diseases in the Joe R. and Teresa Lozano Long School of Medicine at UT Health San Antonio. APPROVAL OF MINUTES OF PREVIOUS MEETING(S): NOVEMBER 10, 2020 (SPECIAL MEETING); NOVEMBER 17, 2020 (REGULAR MEETING); AND DECEMBER 15, 2020 (SPECIAL MEETING) SUMMARY: The minutes of the meetings of November 10, 2020; November 17, 2020; and December 15, 2020 were submitted for Board approval. RECOMMENDATION: Staff recommended approval of the minutes as submitted. ACTION: There being NO OBJECTION, the minutes stand APPROVED as submitted. EVALUATION: None. FOLLOW-UP: None NEW BUSINESS: CONSENT AGENDA — JIM ADAMS, CHAIR CONSIDERATION AND APPROPRIATE ACTION REGARDING A CONTRACT BETWEEN COMMUNITY FIRST HEALTH PLANS AND CLARITY SOFTWARE SOLUTIONS, INC. FOR MEMBER FULFILLMENT SERVICES — THERESA SCEPANSKI SUMMARY: The contract for member material fulfillment services was competitively bid on September 9, 2020. Two (2) vendor responses were received including bids from Dialog Direct (HealthLogix) and Clarity Software Solutions, Inc. The bids were compared utilizing a decision matrix and reviewed for responsiveness to the request for proposal (RFP) specifications. The bids were then equally weighed based on administrative and financial criteria. Clarity Software Solutions, Inc. provides the best value for the following reasons: (1) certified security measures for member protected health information (PHI); (2) meets all production capabilities and needs; (3) offers extensive quality assurance measures and extensive data reporting; (4) meets technical functionality and requirements; and (5) offers competitive fees. Based on current utilization, the estimated value of the contract with Clarity Software Board of Managers Meeting Tuesday, January 19, 2021 Page 3 of 10 Solutions, Inc. is $445,000 annually (or, $1,335,000 over a three-year period). Services and annual fees are broken down as follows: Estimated postage - $115,000/year for three years; and estimated service fees – $330,000/year for three years. There is a five (5) percent decrease from the previous contract period for base fulfillment services. This contract is for a three-year period beginning January 1, 2021. The
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